Individual
JEANNA M HULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1805 27TH ST, PORTSMOUTH, OH 45662-2640
(740) 356-8310
Mailing address
PO BOX 9085, BELFAST, ME 04915-9085
(606) 836-3900
(606) 833-4668
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100102090
—
KY
Enumeration date
11/04/2009
Last updated
03/31/2014
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